Logan General Hospital LLC
NPI 1720032105 · Podiatrist · Logan, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan General Hospital LLC is a Podiatrist organization in Logan, WV (NPI 1720032105).
Provider details
- NPI number
- 1720032105
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Johnetta Traylor, Ao(502) 596-6063
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Logan General Hospital LLC's NPI number?
- Logan General Hospital LLC's National Provider Identifier (NPI) is 1720032105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan General Hospital LLC?
- Logan General Hospital LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Logan General Hospital LLC located?
- Logan General Hospital LLC's practice location on file with NPPES is 20 Hospital Dr, Logan, WV 25601-3452.
- What is Logan General Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Logan General Hospital LLC is (304) 831-1101.
- Does Logan General Hospital LLC accept Medicare?
- Logan General Hospital LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Logan General Hospital LLC?
- The authorized official listed on Logan General Hospital LLC's NPPES record is Johnetta Traylor, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan General Hospital LLC's NPI active?
- Yes — Logan General Hospital LLC's NPI (1720032105) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.